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COASTAL SPEECH THERAPY NPI 1417099755


NPI Information

NPI: 1417099755
Provider Name: COASTAL SPEECH THERAPY
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
24 SERENITY FARMS RD
COASTAL SPEECH THERAPY
WOODBINE, GA
ZIP 31569
Phone: (912) 230-0024
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COASTAL SPEECH THERAPY is a speech language pathologist in Woodbine, GA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. COASTAL SPEECH THERAPY NPI is 1417099755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24 SERENITY FARMS RD
COASTAL SPEECH THERAPY
WOODBINE, GA
ZIP 31569
Phone: (912) 230-0024
Fax: (912) 576-5182

The provider's authorized official is Jeanette Williamson .
The authorized official title is Office Billing Manager and has the following contact phone number (912) 227-2524.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistCLP005987GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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